Ms Sharonda Renee Forte, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Snellville, Georgia. Her current practice location is
1970 Main St E Ste B3, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(470) 467-4680.
Ms Sharonda Renee Forte is licensed to practice in Georgia (license number RN261865) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811134133.
Physician's Profile
| Full Name | Ms Sharonda Renee Forte |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1970 Main St E Ste B3, Snellville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811134133
- Provider Enumeration Date: 01/08/2009
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193131332
- Enrollment ID: I20210315000334
Medical Identifiers
Medical identifiers for Ms Sharonda Renee Forte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811134133 | NPI | - | NPPES |
| RN261865 | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | F04180236 (Georgia) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 2040478 (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 0001176 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | F04180236 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | 11015245 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024184041 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN261865 (Georgia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Sharonda Renee Forte allows following entities to bill medicare on her behalf.
| Entity Name | Unitedhands Health & Wellness Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366045130
PECOS PAC ID: 7012320013
Enrollment ID: O20210112003156 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sharonda Renee Forte is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Sharonda Renee Forte, NP-C
1970 Main St E Ste B3,
Snellville, GA 30078-6463
Ph: (470) 467-4680 | Ms Sharonda Renee Forte, NP-C
1970 Main St E Ste B3,
Snellville, GA 30078-6463
Ph: (470) 467-4680 |
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